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HomeMy WebLinkAboutMiscellaneous - 376 WOOD LANE 4/30/2018w b 0 M z 0 N z W I O u z Sp J n m V r N W U.I W Y z N z 0 M N W 0 r' I z Y u n � 0 I � r s W z J � a a Y W L 0 0 z 3 ud S $ ~ I IL a Z � 0 L U U- O 0 0 0 1 0 �u W W p 10 Y N z M N W 0 r' I z Y u n � I U } x W z J � a a Y W o z 3 z z z 1 Z � 0 0 0 z 0 0 0 W � 0 �u W W p 10 Y N z 0 r' I u � I r � Y w i z z 1 0 O W W � F H � p 0 0 Y J J = 1. h p o y L , W ( < N L L i Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption ,Please print) DATE A � JOB LOCATION 37k4))&� Number Street Addr s 14 'HOMEOWNER"/�Iq� Name me Phone ection of town orK enone PRESENT MAILING ADDRESS �`%LQ LOc.�y moo- � �-l�• D/S City Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellinLs of.six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State. Building Code, Section 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory;to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official., on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 351000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. m Z �1 m -6 s: x w PQ v -J:: t) o w° E y au v) p U w z q o -0 , E w° U Cl. O w zm Itot a°' uc" x � W w W -a 7 a�' u c% w a V o°4 w a A w G cn' o z cn O 9 Lij z �� c o O E m c L O Z d O � O 0 h C C y O C O! h C ca V V •d 0 CD C fix: A W O� 3.0 � cc o 0 0 CD cma ca E a O �( v ca Z C 0 - v y C " O w a N H C ca O` m E a+, C o ` N S o � " Ca c C o Z O 7 1i: plp G C C N Q _..l O �� c m L6 C3 Z o r+ C O Q. C H O : N O C �C = o 'moo N H 0 N'D m W C t •HG.Z O W .E C r.+ v QCS z , o� — 5 CO2 i CL m� y .' 44 0 = � CMM. �� O E L O Z d O 0 h C I C O! h Q ca O O m m 0 CD t O� 3.0 � cc o 0 0 M: cma ca C O v ca Z C 0 CL v y C O H ca Proposal for Farm Stand Storage Shed on Roche Dairy Farm • Dimensions to be 12.0'x 16.0'. Wall construction will be 2x4's. Floor and roof will be 2x6 construction. 16" on center and 2x4 walls. • Structure will be of wood and will rest on cement cinder blocks. • The proposed shed will be used for storage of farm stand materials such as pumpkins, cornstalks, gourds and outside display shelves. • The shed is set back over 100 feet from Waverly Road. It abuts Holy Seplecure Cemetery on Left (facing Waverly) which is over 100+feet and tree area of the farm property which is approx. 100 ft from shed. %3 tE S'I6t S waw N�'1b O'S j-ek C &,J Wim✓ -e jy Rj Ttf� T rt r1 $�'q r�� 1 S R�i� 7 ?�n►1� !%\ S 1� i L f§� �'v�7r'�t-� �J� JbrNP (7.�. Sffa�S S 1 VIA. 9 rft�'1 -rou" (" Lpr. ' C ,�iN� StC S. 7%�c 5i4p 6e 'q- 6/&-1 c r'1-i-1� S) PdN \s\e.�P 8►�S r C>4•.•�t S kA.O,� M7 r c WAVERlY •a • ' '� ♦ '' " i � ►� err "• s �� 010 C P45T (-) P, E- S i �L374, a ocD I IA f iASSACNUSETTS UNiFORM•APPLICATiON FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date 19� Permit # 6 Building Name ding Location)r Type of Occu4ncy New p Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ B.P.rrr SFWFR:E FIXTURES CVDTTr'.JL y en 1 H 93 o .. t W N Y rN ` O Z N a rt h h- W H }- = V ¢ N 6 y O U. = y - Z n¢. u CJ +J x ..i N Ca In Z O O ¢ H W y W Y n d v7 ¢ d a¢ �= O -'4 r=+ ¢ lu iu d LUZ O ¢ C- 3 -j H¢ F < n W C W V Ii P O H O F O O O H __ _Y tu F' O V O b GJ L } Y m = �. 4 d t .1 m� d v C I a .2 �t a q 3¢ m p 0 sus—gSMT. BASEMENT ( 1 ( I !ST FLOOR ( I ( I I + l I 2ND FLOOR I I I I ( I 3RD FLOOR 4TH FLOOR STH FLOOR 1 6TH FLOOR ( I I ( I 7TH FLOOR -F-1 LIT� aTH 12LO-0R 41 1 f I Installing. Company I"W Business Telephone Name of Ucensed Plumber C�pkorpo one: arparatlon ❑ Partnership ❑ Firm/Co. Certificate s INS11RANCE COVERAGE: 1 have a current liabilityinsurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box s A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ " OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have I the Insurance coverage required by t Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under th pe ' ' ued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plu n Code and p ' 142 (the eneral Laws• t Signa a of Ucensed lumber Title„ n [City/Town .7U1V ” Type of License: Master Journeyman ❑ APPFKNEff O iC U ONLY) License Number _ Date. �s 3367 NORrM Of.'tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s °• `� a n ,SSA�NUS� C� This certifies that ...-D !?.e7 e3 s• • ....f d• r'-( has permission to perform ...LA./.4. 4z ......... . plumbing in the buildings of ... R. Q.1:7 .'; ..................... . at. .?.76p.. L+..-vf- . , .�.w........... No h Andover, Mass. o Fee . d.s t Lie. No..% y.Y?.:. ...... , .... . LUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 15 -- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print or ype) , Mass. Date � 19__? ,Permit # S 6 Building Location Owner's Name /e Type o cu cy / 1 / ✓/G L ! %1�� New [; Renovation A Replacement Plans- Submitted: Yesp ' No ❑ .0 Installing Company Name ji <T ' Certiticate #/ Address ") orporation Y �/ _ ❑ Partnership Business Telephone (,I ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter _ /) h h/ INSURANCE COV. AGE: I have a current bliify insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, pleas ndicate the type coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement. Check one: -+gnature of Owner or Owners Agent Owner[] Agent ❑ I hereby certify that all of the detaiis and information 1 have submitted (or entered) in above ap; knowledge and that all plumbing work and installations performed under the III ssued for 1 pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 ' . General By TFJMoausitne censeTitle be�re o cr City/Town rUcense Number u'M�Q Oyman are true and accurate to the best of my Iryauon will be In compliance with all or Ga titer / MEN �ri��iii�rii�� iENE EMEMEN Installing Company Name ji <T ' Certiticate #/ Address ") orporation Y �/ _ ❑ Partnership Business Telephone (,I ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter _ /) h h/ INSURANCE COV. AGE: I have a current bliify insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, pleas ndicate the type coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement. Check one: -+gnature of Owner or Owners Agent Owner[] Agent ❑ I hereby certify that all of the detaiis and information 1 have submitted (or entered) in above ap; knowledge and that all plumbing work and installations performed under the III ssued for 1 pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 ' . General By TFJMoausitne censeTitle be�re o cr City/Town rUcense Number u'M�Q Oyman are true and accurate to the best of my Iryauon will be In compliance with all or Ga titer / M t w 2569 Date.��........ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... i' ...............fN has permission for gas installation . Je!� . N .................... . in the buildings of .. Rq G ... . at —32.6.. lk'. o. 9.4 . l': w ... ...... . Nort Andover, Mass. Fee. �.Sh7... Lic. No..q V I,/.k.. .... ,....... r<roy90-.... SINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File